Krystal Latolya Holmes

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2156 Wooddale Blvd Ste 750
Baton Rouge, LA 70806-1404

Phone

(225) 444-3169

NPI assigned

Sep 14, 2017

Last updated

Sep 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holistic Behavioral Health Services of Louisiana

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1790236586

  Case Manager/Care Coordinator

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1164941761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BEN HUR RD APT 1220",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708205143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 WOODDALE BLVD STE 750",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061404",
            "telephone_number": "225-444-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KRYSTAL",
        "middle_name": "LATOLYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Holmes
• David Benjamin Holmes, MD
• Jennifer Holmes
• Keith Alan Holmes, M.D.
• Kina Anderson Holmes
• Melinda Desiree Holmes, RSW
• Octavia Holmes, LPN
• Pyrannes Holmes, LCSW
• Trinity Anissa Holmes
• Stephen Holt

• Case Manager/Care Coordinator in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.